Ibero-American Action League, Inc.

Summary: Under the supervision of the Chief Financial Officer, the OPWDD Waiver Services Biller carries out all Medicaid Billing functions. The incumbent is expected to submit timely documentation, resolve submission issues, and answer any inquiries regarding Medicaid billing. The OPWDD Waiver Services Biller will be collaborating with other members of the Finance Department to complete month-end tasks on schedule.

Essential Functions:

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

  • Accurate and timely billing and recording of Medicaid Waiver billing right through to timely collection.
  • Must provide customer service regarding client-billing issues, collection issues, and review account adjustments.
  • Develop collaborative relationships with program staff to coordinate preauthorization and service notes documentation and managed care account reps to ensure claims payment.
  • Thoroughly document notes relative to claims status and follow-up actions.
  • Will assist the compliance department with internal progress notes, claim and billing audits.
  • Follow up on all insurance denials and process accordingly. Assisting in the development of business processes in conjunction with Finance and Program staff that will allow Ibero to accurately and efficiently record revenues and collect the underlying cash on a timely basis.
  • Follows established local, county, state and federal guidelines/laws for billing compliance for Medicaid, Private Insurance, OPWDD, OCFS, OMH, OASAS and DOH.
  • Identify issues attributing to account delinquency and discuss them with Chief Financial Officer.
  • Proactively works aging reports and write appeal letters when applicable.
  • Ensure maintenance of appropriate internal controls and financial procedures.
  • Exercises full compliance with the agency's Code of Conduct, all Agency Policies & Procedures and Federal and State laws and regulations
  • Special projects assigned by Chief Financial Officer.
  • Provide coverage for other team members when needed.
  • Supports regular feedback on performance, including annual performance evaluations.
  • Keep the Chief Financial Officer informed about the day to day status of the Agency's billing and receivables processes

Authority:

This individual must be resourceful and able to display initiative and understanding of computer programs, and financial reporting. 

Position Qualifications:

Competency Statement(s)

  • Analytical Skills - Ability to use thinking and reasoning to solve a problem.
  • Accuracy - Ability to perform work accurately and thoroughly.
  • Customer Oriented - Ability to take care of the customers' needs while following company procedures.
  • Detail Oriented - Ability to pay attention to the minute details of a project or task.
  • Ethical - Ability to demonstrate professionalism conforming to a set of values and accepted standards.
  • Friendly - Ability to exhibit a cheerful demeanor toward others.
  • Interpersonal-Ability/desire to understand others' attitudes/interests/needs/nonverbal behavior, listening skills, and understanding strengths/limitations of others.
  • Organized - Possessing the trait of being organized or following a systematic method of performing a task.
  • Reliability - The trait of being dependable and trustworthy.
  • Communication, Oral - Ability to communicate effectively with others using the spoken word.
  • Communication, Written - Ability to communicate in writing clearly and concisely.
  • Demonstrates, promotes, and practices cultural competency toward clients and staff through respect and understanding achieved through training and Agency cultural activities.
  • Proactively builds and supports effective working relationships with all Agency Program, funding agencies and Support functions including Finance Staff.
  • Ensures a visible presence among staff and is accessible, supportive, and helpful to all levels of Finance and Agency staff.

Skills & Abilities:

  • BS in Business Administration or Accounting or Five-year experience with billing and receivable processes or equivalent, preferably in a non-profit organization with a budget of at least $10 million
  • Strong working knowledge of Electronic Client Records software, preferably TenEleven
  • Must have intermediate to advanced PC skills (Microsoft Word and Excel).
  • Valid NYS Driver's License.
  • A combination of training and experience other than specified, if judged to be adequate for the job, may be considered by the President & CEO.

Physical Demands:

The position does require occasional standing, squatting, lifting of up to approximately 20 lbs. and frequent sitting.

Ibero American Action League is committed to the policy of equal employment opportunity. This policy expressly prohibits discrimination on the basis of sex, race, color, religion, creed, national origin, age, marital status, sexual orientation, disability, genetic predisposition or carrier status, gender identity or expression, domestic violence victim status, veteran status or status as a member of any other protected group or activity.

Ibero-American Action League, Inc.
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